{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T15:47:26Z","timestamp":1762098446649},"reference-count":25,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2013,1,7]],"date-time":"2013-01-07T00:00:00Z","timestamp":1357516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Haukeland University Hospital, Bergen, Norway"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To describe how patients adapt to living with a mechanical aortic heart valve.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Aortic valve replacement with a mechanical prosthesis is preferred for patients with life expectancy of more than 10\u00a0years as they are more durable than bioprosthetic valves. Mechanical valves have some disadvantages, such as higher risk of thrombosis and embolism, increased risk of bleeding related to lifelong oral anticoagulation treatment and noise from the valve.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>An explorative design with a phenomenographic approach was employed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An explorative design with a phenomenographic approach was applied. Interviews were conducted over 4 months during 2010\u20132011 with 20 strategically sampled patients, aged 24\u201374\u00a0years having undergone aortic valve replacement with mechanical prosthesis during the last 10\u00a0years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Patients adapted to living with a mechanical aortic heart valve in four ways: \u2018The competent patient\u2019 wanted to stay in control of his\/her life. \u2018The adjusted patient\u2019 considered the implications of having a mechanical aortic valve as part of his\/her daily life. \u2018The unaware patient\u2019 was not aware of warfarin\u2013diet\u2013medication interactions. \u2018The worried patient\u2019 was bothered with the oral anticoagulation and annoyed by the sound of the valve. Patients moved between the different ways of adapting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The oral anticoagulation therapy was considered the most troublesome consequence, but also the sound of the valve was difficult to accept. Patient counselling and adequate follow\u2010up can make patients with mechanical aortic heart valves more confident and competent to manage their own health. We recommend that patients should participate in a rehabilitation programme following cardiac surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.12076","type":"journal-article","created":{"date-parts":[[2013,1,7]],"date-time":"2013-01-07T14:33:04Z","timestamp":1357569184000},"page":"2088-2098","source":"Crossref","is-referenced-by-count":13,"title":["Adapting to living with a mechanical aortic heart valve: a phenomenographic study"],"prefix":"10.1111","volume":"69","author":[{"given":"Kjersti","family":"Oterhals","sequence":"first","affiliation":[{"name":"Department of Heart Disease Haukeland University Hospital Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bengt","family":"Fridlund","sequence":"additional","affiliation":[{"name":"School of Health Sciences J\u00f6nk\u00f6ping University Sweden"},{"name":"Institute of Nursing Bergen University College Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan Erik","family":"Nordrehaug","sequence":"additional","affiliation":[{"name":"Department of Heart Disease Haukeland University Hospital Bergen Norway"},{"name":"Institute of Medicine University of Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rune","family":"Haaverstad","sequence":"additional","affiliation":[{"name":"Section of Cardiothoracic Surgery Department of Heart Disease Haukeland University Hospital Bergen Norway"},{"name":"Institute of Surgery University of Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tone M.","family":"Norekv\u00e5l","sequence":"additional","affiliation":[{"name":"Department of Heart Disease Haukeland University Hospital Bergen Norway"},{"name":"Institute of Nursing Bergen University College Norway"},{"name":"Institute of Medicine University of Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,1,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2011.02.006"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-154-7-201104050-00005"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1010-7940(02)00817-5"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/07315724.2000.10718944"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1024\/0300-9831.76.2.65"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2004.03.003"},{"key":"e_1_2_10_8_1","volume-title":"Qualitative Research Methods in the Service of Health","author":"Fridlund B.","year":"2000"},{"issue":"4","key":"e_1_2_10_9_1","first-page":"CD003839","article-title":"Self\u2010monitoring and self\u2010management of oral anticoagulation","volume":"14","author":"Garcia\u2010Alamino J.M.","year":"2010","journal-title":"Cochrane Database of Systematic Reviews"},{"issue":"2","key":"e_1_2_10_10_1","first-page":"228","article-title":"Heart valve sound of various mechanical composite grafts and the impact on patients' quality of life","volume":"19","author":"Golczyk K.","year":"2010","journal-title":"The Journal of Heart Valve Disease"},{"key":"e_1_2_10_11_1","unstructured":"HolteA.(2010) [Active participation equality and inclusion: a comprehensive tool deals]: report from a committee appointed by Royal Decree 25 April 2008: submitted to the Ministry of Labour 4 May 2010 (report in Norwegian)."},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2005.05.006"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2004.01021.x"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(03)00172-6"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(99)00584-7"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/17482620601068105"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/1010-7940(92)90136-L"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00132516"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJR.0b013e3282ef9973"},{"issue":"6","key":"e_1_2_10_20_1","first-page":"410","article-title":"Influence of prosthetic heart valve sound on a patient's quality of life","volume":"16","author":"Nishi K.","year":"2010","journal-title":"Annals of Thoracic and Cardiovascular Surgery"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0b013e3181b99828"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2003.12.014"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S16420"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/heart.89.3.245"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/089431802236796"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2006.05.015"}],"container-title":["Journal of Advanced Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjan.12076","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjan.12076","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.12076","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T17:53:51Z","timestamp":1696182831000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jan.12076"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1,7]]},"references-count":25,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2013,9]]}},"alternative-id":["10.1111\/jan.12076"],"URL":"https:\/\/doi.org\/10.1111\/jan.12076","archive":["Portico"],"relation":{},"ISSN":["0309-2402","1365-2648"],"issn-type":[{"value":"0309-2402","type":"print"},{"value":"1365-2648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,1,7]]}}}